Case Study: Intervening During a Dangerous Situation

Julia Marsh, a certified nursing assistant (CNA) in a long-term care setting, enters a resident’s room and sees that Mark, one of the nursing students on the unit, is struggling to help Mr. Lu move from the chair to the bathroom. Mr. Lu is a resident who has several oozing wounds on his arms and legs. The CNA observes that Mark is not using proper wound and skin infection control precautions, nor proper body mechanics, in transferring Mr. Lu. Julia’s immediate concern is that either Mr. Lu or the student will be injured if she does not intervene immediately.

Discussion Questions

  1. Describe how you would provide sensitive and instructive feedback to this student in a timely manner.
  2. Would you address both the lack of infection control and the poor body mechanics at the same time? Why or why not?
  3. Demonstrate respect for both the patient and the student.
  4. Did you consider any issues of experience level, power, or hierarchy between the CNA and healthcare professional student in planning your approach? If so, explain any impact that had on your planned approach.

Case Study: Intervening During a Dangerous Situation

Case Study: Intervening During a Dangerous Situation

Julia Marsh, a certified nursing assistant (CNA) in a long-term care setting, enters a resident’s room and sees that Mark, one of the nursing students on the unit, is struggling to help Mr. Lu move from the chair to the bathroom. Mr. Lu is a resident who has several oozing wounds on his arms and legs. The CNA observes that Mark is not using proper wound and skin infection control precautions, nor proper body mechanics, in transferring Mr. Lu. Julia’s immediate concern is that either Mr. Lu or the student will be injured if she does not intervene immediately.

Discussion Questions

  1. Describe how you would provide sensitive and instructive feedback to this student in a timely manner.
  2. Would you address both the lack of infection control and the poor body mechanics at the same time? Why or why not?
  3. Demonstrate respect for both the patient and the student.
  4. Did you consider any issues of experience level, power, or hierarchy between the CNA and healthcare professional student in planning your approach? If so, explain any impact that had on your planned approach.

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